Mostly, none. The liver
either has to be VERY ACUTELY IRRITATED which alcohol acute large amounts do.
Most of the symptoms of serious acute liver injury
(which would be winding down by 4 days) would preclude being able to typ. So not so much.
OR a LOT of chronic injury. And the liver would certainly have to be more than 50% injured before chronic damage could be found with anything other than MRI
Probably more like 90%. The liver filters blood and makes stuff. If the liver is shrunken, blood doesn't go through it and backs up. This produces fluid in the belly and often everywhere else.
It is not subtle. Also, veins pop out everywhere behind the liver. Varicose veins
, while more common are in most people over age 50 anyway so it isn't linked to liver disease.
Veins popping out on top of the abdomen Literally not just visible but popping out, can only be from ARLD, basically.
The same happens everywhere in the digestive tract and can frequently cause fatal popped blood vessels.
And the liver makes stuff. Starting with clotting proteins
, so, seeing how thin the blood is, is an early sign of very bad liver disease.
Filtering out stuff means that drugs accumulate with liver disease and that toxins also accumulate and people turn yellow and feel very bad.
Hope I have answered your query. Let me know if I can assist you further.
Dr Matt Wachsman, Addiction Medicine